Health Beat

Stress Awareness Month

Posted on May 10, 2017 by Joann Ariola

In 1992, the month of April was designated as Stress Awareness Month. During this time, health professionals join together to increase the public’s awareness about what causes stress and what can help cure the growing stress epidemic.

Flushing Hospital Medical Center is participating by reaching out to our social media community and sharing some helpful techniques that can assist you in managing your daily stress, such as:

Meditation – is helpful to the brain’s neural pathways, making you more resilient to stress
Breathing Deeply – triggers our parasympathetic nervous system, neutralizes stress and elicits a calming feeling
Exercise – all forms of exercise can ease depression and anxiety by helping the brain releasing feel-good chemicals giving your body a chance to practice dealing with stress
Eating Healthy – choosing a diet rich in vegetables, fruits, and fiber may reduce the chance that stress can boost the body’s natural defense system

Prolonged, excesive periods of stress is unhealthy for any individual. A change of mindset can bring about a healthier lifestyle. That positive change can help you manage stress and bring far-reaching improvement to your health and well being.

For more information and to find out ways you can make a difference visit –

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Understanding Menopause in Six Simple Facts

Posted on May 9, 2017 by Xavia Malcolm

The life stages of women’s reproductive health begin with puberty (menstruation) and end with menopause. Menopause marks the time when a woman stops having her period and is no longer able to reproduce. While this stage is a normal part of life it has its challenges as women may experience several, physical and emotional changes. Here are six simple facts to educate and help prepare you for potential changes ahead.

What is menopause?

Menopause is medically defined as the time in a woman’s life when she has not had her period for 12 months after her last menstrual cycle. Her ovaries will cease to further produce eggs.

When does it happen?

The average age for women living in the United States to experience menopause is 51 years old. However, in some cases, it can occur as early as a woman’s 30’s or as late has her 60’s. Symptoms can begin to present a few years earlier before the actual onset of menopause. This stage of your reproductive health is referred to as perimenopause.

What are the symptoms?

The symptoms of menopause may vary from person to person; they may include:

Hot flashes
Night sweats
A slowed metabolism and weight gain
Vaginal dryness
Mood swings
Trouble sleeping
Thinning hair
Incontinence

How to treat or cope with symptoms?

There are several treatments and lifestyle changes you can apply to help relieve symptoms, some of which are:

Hormone replacement therapy
Getting enough sleep
Strengthening pelvic floor muscles by doing Kegel exercises
Eating a balanced diet
Taking calcium and Vitamin D supplements, as recommended
Exercising regularly
Taking low-dose anti-depressants as prescribed

Can menopause lead to further complications?

Your risk for developing certain health conditions may increase after menopause. Examples of these include osteoporosis and cardiovascular disease

When should I speak to my doctor about menopause?

If you are experiencing unusual pain, other extreme physical or emotional symptoms which affect your quality of life, it is advised that you speak with your doctor as soon as possible. Your doctor may explore treatment options or suggest lifestyle changes. It is also recommended that you begin the conversation about menopause during perimenopause (early menopause symptoms). Your doctor can offer guidance on what to expect.

Flushing Hospital also offers a full range of OB/GYN ambulatory care services in its Women’s Health Center. To make an appointment, please call 718 670-8994.

Do You Have a Deviated Septum?

Posted on May 5, 2017 by Michael Hinck

Ours nose is in the middle of our face, so naturally we pay a great deal of attention to how it looks. If we look carefully though, most of us will find that our nose is not perfectly straight. In fact, it is estimated that approximately 80% of Americans have a nose that is off-center. Known as a deviated septum, this condition is not a cause of concern for most, for those with a severely deviated septum the condition can result in multiple issues.

So what exactly is a deviated septum? There is a thin wall of cartilage and bone that separates our nostrils called the septum. A deviation of the septum occurs when it is displaced to one side, making one nasal passage smaller than the other. When severe, a deviated septum can restrict airflow and make breathing difficult. A person can be born with a deviated septum, can develop one during normal childhood growth, or sustain one as the result of an injury or trauma, such as a broken nose.

Regardless of the cause of a deviated septum, when significant enough, it can be the cause of many problems, including:

Difficulty breathing through the nose
Nasal congestion (usually on one side)
Recurring sinus infections
Nosebleeds
Sleep disorders, including snoring or sleep apnea
Facial pain or headaches
Postnasal drip
Dry mouth (due to chronic mouth breathing)

A doctor, usually an otolaryngologist, also known as an ear nose and throat specialist can perform a physical examination using an instrument called a nasal speculum to determine how severe the septum is deviated. Based on the doctor’s findings, an appropriate course of treatment will be provided. In most cases, the symptoms of a deviated septum can be treated through a variety of medications, such as decongestants, antihistamines, or steroid sprays.

If medications don’t relieve your symptoms, surgical intervention may be recommended. A procedure, known as a septoplasty, where the nasal passage is straightened and repositioned in the center of the nose, can be performed. The procedure is usually performed on an outpatient level, meaning you can return home the same day, but healing normally takes a few weeks. Symptoms associated with a deviated septum are often completely resolved after surgery.

To make an appointment with a doctor at Flushing Hospital’s Ambulatory Care Center, please call 718-670-5440.

Hepatitis Awareness Month

Posted on May 4, 2017 by Andrew Rubin

May is Hepatitis Awareness Month which serves to educate people about the disease and ways to prevent it. Each year approximately 15,000 people die in the United States from either liver cancer or chronic liver disease caused by hepatitis. This is one of the reasons why raising awareness about the disease is very important.

Hepatitis is defined as an inflammation of the liver and can be caused by alcohol abuse, exposure to certain toxins, drug abuse, bacterial or viral infections.The three main types of viral hepatitis are Hepatitis A, Hepatitis B and Hepatitis C.

Hepatitis A can be mild or severe and can last weeks to months. It is spread by contact with food, liquids and objects that are infected with fecal matter from a person who is infected. Hepatitis B can be a life long illness. It is transmitted by blood, semen or other bodily fluids and as a baby passes through the birth canal. Hepatitis C is spread through sharing needles and syringes with people who are infected.

A vaccine exists for Hepatitis A and Hepatitis B for populations that may be at risk. If you would like to find out if you are at risk for the disease, please schedule an appointment with a physician at Flushing Hospital Medical Center by calling 718-670-5486

Mumps

Posted on May 3, 2017 by Joann Ariola

Are you concerned that your child may contract mumps? First, we have to find out what mumps is!

Mumps is a viral infection that affects the parotid glands, which are located slightly below and in front of the ears. If a child has contracted mumps, these glands can swell causing discomfort. Although rare, mumps can potentially cause hearing loss, meningitis, encephalitis and orchitis (in males).

Mumps was common in the United States until a mumps vaccination became available. After the vaccination, health officials saw the number of cases drop significantly.

According to the Centers for Disease Control and Prevention (CDC), symptoms of mumps usually appear within two weeks of exposure to the virus. Flu-like symptoms may be the first to appear, including:

fatigue
body aches
headache
loss of appetite
low-grade fever

A high fever (up to 103 degrees Fahrenheit) and swelling of the salivary glands follow over the next few days. The glands may not all swell initially. More commonly, they swell and become painful. The mumps virus is most contagious to another person from the time you come into contact with the virus to when your parotid glands swell.

There isn’t a course of treatment for mumps, so applying warm or cold packs to the swollen glands that are tender can be helpful. Additionally, health professionals encourage children between the ages of 12 through 15 months of age to receive their first measles, mumps and rubella (MMR) vaccination and their second dose at 4 through 6 years of age.

Although mumps is no longer very common in the United States. From year to year, mumps cases can range from roughly a couple hundred to a couple thousand. For more information on how to track mumps outbreaks state, you can visit the CDC site –

If you are interested in making an appointment with a pediatrician at Flushing Hospital Medical Center, you can schedule an appointment at our Ambulatory Care Center at 718-670-5486.

Can GERD Contribute to Your Asthma?

Posted on April 28, 2017 by Michael Hinck

Most asthma sufferers are aware of the many potential sources for their condition, but they may not realize one very common disorder that can contribute to the development of asthma – GERD.

Gastroesophageal reflux disease, also known as GERD is a digestive disorder that affects the ring of muscle between the esophagus and stomach. Normally, this ring, which is called the lower esophageal sphincter, prevents acidic stomach juices from flowing back into the esophagus after food enters the stomach.

GERD occurs when the esophageal sphincter is weakened allowing the stomach’s contents to flow up into the esophagus. Heartburn, the most common symptom of GERD, feels like a burning sensation in the esophagus. Many people say it feels like food is coming back into the mouth, leaving a bitter taste.

Research has indicated that GERD can either lead to, or worsen asthma symptoms. In fact, it is estimated that over 75% of patients with hard-to-treat asthma also experience frequent heartburn from GERD.

While the relationship between GERD and asthma does exist, the exact link between the two is unknown. One possibility is that acid reflux irritates the airways and lungs, which affects breathing and makes people more sensitive to outside conditions such as pollution, cigarette smoke, and cold air. Another potential explanation is that a nerve is triggered in the airways when acid enters the esophagus, causing them to narrow in order to prevent acid from entering the lungs.

Doctors most often look at GERD as the cause of asthma when:

Asthma begins in adulthood
Asthma symptoms get worse after a meal, after exercise, at night or after lying down
Asthma doesn’t respond to the standard asthma treatments

For many, treating GERD can help them relieve asthma treatments Thankfully, by simply adjusting lifestyle behaviors, GERD can be controlled. Tips to control GERD include:

Raise the head of your bed by six inches to allow gravity to help keep down the stomach’s contents
Eat meals at least three to four hours before lying down
Eat smaller meals with moderate portions of food
Maintain a healthy weight
Limit consumption of chocolate, peppermint, coffee, tea, colas, alcohol, tomatoes and citrus fruits or juices, all of which can contribute additional acid that can irritate the esophagus
Give up smoking, which relaxes the lower esophageal sphincter
Wear loose belts and clothing

In addition, your doctor can recommend over-the-counter treatments or prescribe medications to relieve GERD symptoms.

Flushing Hospital’s Ambulatory Care Clinic offers many specialty services to treat a variety of pulmonary and digestive disorders. To make an appointment, please call 718-670-5486.

What Time Do You Eat Dinner ?

Posted on April 27, 2017 by Andrew Rubin

Typically people eat dinner between 6:00 PM and 7:30 PM. Dinner time fifty years ago people ate between 5:00 PM and 6:30PM but now due to work and commuting schedules dinner time for many of us has shifted to eating later. The time that most people sit down for their dinner also varies in different parts of the country and the world. In some places around the world dinner isn’t eaten until 9 o’clock or later.

Research has shown though that eating a big dinner close to bed time can lead to weight gain because you probably won’t burn up all of the calories you take in. Also, late night eating can increase the amount of glucose and insulin in your body which can have an Effect on your ability to fall asleep. If you are going to be eating dinner late at night, it is best to make it a light one.

Smashed Cucumber Salad

Posted on April 25, 2017 by Joann Ariola

Want to try something different AND delicious? Prepare your garden cucumbers using the classic Chinese technique of smashing or smacking the cucumbers to allow them to absorb more flavors in a salad.All you need to get started is:INGREDIENTS:

About 2 pounds thin-skinned cucumbers
1 teaspoon kosher salt, plus more for cucumbers
2 teaspoons granulated sugar, plus more for cucumbers
1 ½ tablespoons rice vinegar
2 teaspoons sesame oil
2 teaspoons soy sauce
1 tablespoon grapeseed or extra-virgin olive oil
2 large garlic cloves, minced or put through a press
Red pepper flakes, to taste
Small handful whole cilantro leaves, for garnish
2 teaspoons toasted white sesame seeds, for garnish (optional)

DIRECTIONS:

Rinse cucumbers and pat dry. Cut crosswise into pieces about 4 inches long. Cut each piece in half lengthwise.
On a work surface, place a piece of cucumber (or several) cut side down. Lay the blade of a large knife flat on top the cucumber and smash down lightly with your other hand. The skin will begin to crack, the flesh will break down and the seeds will separate. Repeat until the whole piece is smashed. Break or slice diagonally into bite-size pieces, leaving the seeds behind.
Place the cucumber pieces in a strainer and toss with a big pinch of salt and a big pinch of sugar. Place a plastic bag filled with ice on top of the cucumbers to serve as a weight and place the strainer over a bowl. Let drain 15 to 30 minutes on the counter, or in the refrigerator until ready to serve, up to 4 hours.
Make the dressing: In a small bowl, combine salt, sugar and rice vinegar. Stir until salt and sugar are dissolved. Stir in sesame oil and soy sauce.
When ready to serve, shake cucumbers well to drain off any remaining liquid and transfer to a serving bowl. Drizzle with grapeseed or olive oil and toss. Add half the dressing, half the garlic and the red pepper flakes to taste, and toss. Keep adding dressing until cucumbers are well coated but not drowned. Taste and add more pepper flakes and garlic if needed.

Serve immediately, garnished with cilantro and sesame seeds.

How Do You Know When Your Cut Requires Emergency Care?

Posted on April 21, 2017 by Michael Hinck

Doctors in hospital emergency departments see thousands of patients everyday who have suffered various degrees of skin penetrating wounds. While many of these patients do in fact require immediate medical attention, not all do. The issue is, many patients do not know what types of injuries warrant a visit to the Emergency Department and which do not.

Dr. James Giglio Chairman of Emergency Medicine at Flushing Hospital Medical Center states “it’s tricky for patients to tell when cuts require medical attention. Many minor wounds heal without any professional intervention, but some require stiches or other types of treatment for proper healing. So how can you tell when to go to the E.R.?

According to Dr. Giglio, wounds almost always require a trip to local ER if they are:

Deep enough to expose the muscle, bone, or fatty tissue
Wide enough so that you can’t easily apply pressure to press the edges together
Located across a joint (fear of damaging nerves, tendons or ligaments)
The result of a bite (may require tetanus or tetanus treatment)
Caused by a dirty or rusty object
On the face or any other body part where scarring is a concern
Still bleeding after 15 minutes of direct pressure

Regardless of whether or not a wound requires a visit to the Emergency Department, the risk of infection increases the longer your wound remains open. Therefore immediate wound care is very important. Dr. Giglio states “It is best to gently clean the wound as soon as possible by irrigating it with thoroughly for a few minutes under tap water. You should also apply direct pressure to the wound and keep it elevated. This will slow or stop the bleeding.”

Thorough wound care is also very important to stave off infection. All wounds should be dressed with a topical antibiotic ointment and covered with a bandage. Doctors recommend reapplying ointment and changing your bandage two -three times daily for the first couple of days. If the healing wound gets wet, pat it dry and apply a dry bandage. Moist bandages delay healing and increase the risk of infection for most wounds. If you become concerned due to worsening pain, redness or swelling, contact your doctor immediately.

According to Dr. Giglio there are always exceptions to these rules. “The best advice I can give is if you are unsure about the severity of your injury, it is better to err on the side of caution and seek medical attention.”

Flushing Hospital Medical Center’s Emergency Department is open 24 hours a day, seven days a week and provides care for tens of thousands of patients every year. The doctors and staff in our Emergency Department can help you decide what level of treatment your wound requires.

Irritable Bowel Awareness Month

Posted on April 19, 2017 by Andrew Rubin

April is Irritable Bowel Awareness Month. For many people who suffer from Irritable Bowel Syndrome (IBS), finding out which foods agree with them and which foods cause them discomfort, is essential to living successfully with the disease.
IBS is a condition whereby certain foods will cause intestinal discomfort after being consumed. These symptoms can include:
• Bloating
• Gas
• Nausea
• Abdominal cramps
• Diarrhea or Constipation
There is no general rule of what to eat and what to avoid in treating IBS. A physician will go through a patient’s daily diet and see if there are certain foods that are more likely to act as irritants. Foods that typically cause a problem for people with IBS have a high concentration of insoluble fiber which are found primarily in whole grains and vegetables and that do not dissolve in water. Insoluble fiber rich foods pass through the intestine almost intact and can act as a natural laxative. The foods that physicians who treat this disease recommend avoiding include:
• Nuts
• Caffeine
• Chocolate
• Beans
• Cabbage
• Raisins
• Broccoli
The act of eating and chewing stimulates the digestive tract. It has been suggested that instead of eating one or two full meals every day, eating five or six smaller portion meals may prevent the digestive tract from becoming over stimulated.
To make an appointment with a physician specializing in IBS at Flushing Hospital please call 718-670-5486.